HomeMy WebLinkAbout01-26-06
REv.ISIIOEX(6<llII
REV-1500
INHERITANCE TAX RETURN
RESIDENT DECEDENT
Or-T!~t$,L t;$~ 01-.01-.'1
'* COMMONWEAlTH OF
PENNSYlVANIA
. DEPARTMENT OF REVENUE
DEPT. 280601
HARRISBURG. PA 17128-0601
FILE NUMBER
21 -0 5 ~L1LJL_
COlIIlYCODE ~ NlIotIlER
DECEDENT'S NAME (lAST. FIRST, AND MIlDLE INITIAl)
~ Smoley, Russell
~ DATE OF DEATH (W-Oo-YEAR) DATE OF BIRTH (MM-OD-YEAR)
W 08/14/05 06/28/25
o
W (IF APPlICABLE) SURVIVING SPOUSE'S NAME (lAST, FIRST. AND MIDDLE INITW.)
C
socw. SECURITY NUMBER
201
16
1350
THIS RETURN MUST BE ALED IN DUPUCA TE WITH THE
REGISTER OF WILLS
socw. SECURITY NUMBER
w
...,
~~~
MA.8
:r:i...l
UA.G1
A.
<(
In 1. ~il81 Return
o 4. Umhd Estate
Gaf. Decedent Died TestallI (AlIodI copy oIMj
o 9. litigation Proceeds ReceMld
o 3. Remainder Return (dolo .,_ prior '" 12.13-82)
o 5. Federal Estate Tax Return Required
8. ToIal Number of Sere Deposit Boxes
o 11. EIecIion 10 tax under See. 9113(A) (AIlodtSchOl
,. on :...Ji1~.tr~A:t:O:.~~
o 2. Supplemenlal Return
o 4a. Fulur81nla18Sl Compromise (_ 01_ ...,2.12-12)
o 7. Decedent Maintained a living TIUSl (AlIodI copy oITNItI
o 10. Spousal Powrty Credit (dI1t 01..... ......,2-31-9111ld 1.1-85)
I-
Z
W
C
~
A.
Ul
fi
NAME
COMPLETE MAlUNG ADDRESS
10 N. Market Street
P.O. Box 305
Selinsgrove, PA17870
John T. Robinson
ARM NAME (f~l
Kobinson & Robinson
TELEPHONE NUMBER
rY'~ cYfn:I:.fG?HnrcNCi'"'....wNj
(1)
(2)
(3)
(4)
(5)
109,940.00
z
o
~
..J
~
!::
Q.
<C
o
W
a:::
1. Real Estate (Schedule A)
2. Stocks and Bonds (Schedule B)
3. Closely Held Cofporation, Partlllllship or Sole.f'roprielorship
4. Mortgages & Noles Receivable (Schedule D)
5. Cash, Bank Deposis & Miscallaneous Personal Property
(Schedule E)
6. Joi~ CMned Property (Schedule F)
o Sep8l8te Biling Requested
7. Inter-Vivos Transf81S & Miscellaneous Non-Probate Property
(Schedule G or L)
8. Total Gross Assets (total U1es 1-7)
9. Funeral Expenses & Administrative Costs (Schedule H)
10. Debls of Decedent, Mortgage liabilities. & Uens (Schedule Q
11. Total Deductions (loIaIlines 9 & 10)
12. Net Value of Estate (Lile 8 minus line 11)
13. Charitable and Governmental BequeslslSec 9113 Trusts for which an election to lax has not been
made (Schedule J)
377,754.84
?'1R,lQ?L.?
l~',
i.. "
11,?'iq qR
17.458.20
(6)
C-,)
f,)
(7)
(8)
L.ln,R'10 nO
(9)
(10)
39,095.76
(11)
(12)
(13)
1q nqc; 7h
z
o
~
~
:)
Q.
::E
o
o
~
14. Net Value Subject to Tax (Lile 12 milus Una 13)
SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES
15. Amount of line 14 taxable at \he spousal lax
rate. or transfers under See. 9116 (aX1.2)
x.O_ (15)
x.O~ (16) 5.240.38
x .12 (11)
x .15 (18) 39,195.30
(19) 44.43'i.nR
(14)
377,754.84
16. Amount of Una 14 taxable at IneaJ rate
116,452.87
17. Amount of Una 14 taxable at silfing rate
18. Amount of Una 14 taxable at collateral rate
261,301. 97
19. Tax Due
20.0
CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT
RK.
~_."~. .
COMMONWEAlTH Of PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE A
REAL ESTATE
ESTATE OF FilE NUMBER
Russell Smoley 21-05-0780
All real property owned solely or as 8 tenant In common must be reported at fair market value. Fair market value is defined as the price at which property would be exchanged
between a wiling buyer and a wiling seaer, neither being compeaed to buy or sell, both having reasonable knowledge of the relevant facts. Real property which Is jolntJy-owned with right 01
sUlYlvorshlo must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VAlUE AT DATE
OF DEATH
12 Highland Drive, Camp Hill, Lower Allen Township
Cumberland County, Pennsylvania
(Fair Market Value)
$ 109,940.00
Assessment = $109,940. x 1.00 (common level ratio)
Parcel 13-23-0547-449
TOTAl (Also enter on line 1, Recapitulation) $ 109,940.00
(If more space is needed, insert additional sheets of the same size)
"
f::> G
\ '
~)) - ~2
r '. \ 1\ ~ 1, ~ 'J
~0l57cr
(
WIriz JElrro,
!Jv{acfe the 9, day of December in the year of our Lord, Two Thousand and
Five (2005).
r,-="
c:..::..
~.:);
ou'
'lJetween THE ESTATE OF RUSSELL SMOLEY, Deceased, by JOHN T. ROBINSON, CJ
EXECUTOR, ofl0 N. Market Street, P.O. Box 305, Selinsgrove, Snyder County, PennsylvaniaB
Grantor and Party of the First Part; ~
A
N
D
ISABELLA CLINE, a single person, of 12 Highland Drive, Camp Hill, Pennsylvania, Grantee
and Party of the Second Part, .'
Wfiereas, the said Decedent, Russell Smoley became in his lifetime lawfully seized in his
demesne as offee of the hereinafter described real estate; and being thereofso seized, made his
LAST WILL AND TESTAMENT, in writing, dated the 8th day of November, Two Thousand
Four (2004 ), wherein and whereby he appointed as Executor the said Isabella Cline; and Whereas
the said Isabella Cline filed a Renunciation with the Register of Wills of Cumberland County, in
favor of John T. Robinson, the Alternate Executor as nominated in the said Last Will and
Testament; and
Wfiereas, the said Russell Smoley died on the 14th day of August, 2005, and his said Last Will
and Testament was duly probated on the 31st day of August, 2005, and is now of record in the
Office of the Register of Wills in and for Cumberland County; and
Wfiereas, Letters Testamentary were issued on August 31, 2005, to the said John T. Robinson;
and
Wfiereas, the hereinafter described real estate was specifically devised by the Decedent's said
Last Will and Testament to the said Isabella Cline, the Grantor herein; and
Wfiereas, this conveyance is being made in furtherance of the Administration of the Decedent's
Estate pursuant to the aforesaid Will and the powers provided therein and by Law to the
Executor.
,- 272 P! ,~,e ,'" ,-,")
MOf., 'I\~, .L oJ\.)
:; ". '
:'~ ~.:: t
~,l .;." !
~= ~_.: .
-,'~ r.t '
t::'l -".; .
,', C:
,,-:~ -rj
=:0
::3
,'- r-'
....... ;~: I.'
~ --oJ,-,-,
f'\.) ~-...:;.~
C"V
I Co)
. ,
!J{ow q'liis 'ltufenture Witnessetli; that the said Grantor, for and in consideration of the
sum of ONE AND ZERO HUNDREDTHS ($1.00) Dollar, lawful money of the United States, to
him well and truly paid by the said Grantee at and before the sealing and delivery hereof, the
receipt of which is hereby acknowledged, by virtue of the power granted by law, has granted,
bargained, sold, aliened, released and confirmed, and by these presents does grant, bargain, sell,
alien, release and confirm unto the said Grantee, her heirs and assigns:
ALL THAT CERTAIN lot or tract ofland situate in the Township of Lower Allen, County of
Cumberland and State of Pennsylvania, more particularly bounded and described as follows, to
wit;
BEGINNING at a point, which point is on the northerly side of Highland Drive, 120 feet in an
easterly direction by same from Village Road at the dividing line between Lots Nos. 26 and 27 on
the hereinafter mentioned Plan of Lots;
thence, North 9 degrees 22 minutes West along Lots Nos. 26 and 27 on said Plan 85.75 feet;
thence, North 85 degrees 25 minutes East on a line parallel to Highland Drive 109.5 feet to Lot
No. 28 on said Plan;
thence, South 10 degrees 5 minutes West along the western line of Lot No. 28 on said Plan, 75.37
feet to the northern line ofHigRland Drive;
thence, South 80 degrees West along the northern line of Highland Drive 110 feet to the place of
BEGINNING.
Being Lot No. 27 on the Plan of Highland Village which plan is recorded in the Cumberland
County Recorder's Office in Plan Book 3, page 98.
Having thereon erected a one-story brick bungalow known and numbered as 12 Highland Drive,
Highland Village.
BEING the same premises which Craig S. Wheeler, single man, by his Deed dated June 12, 1997
and recorded June 25, 1997 in the office of the Recorder of Deeds in and for Cumberland County,
Pennsylvania, in Record book 159 at page 1110 granted and conveyed unto Russell Smoley, a
single man, whose Estate is the Grantor herein.
tjrantor certifies that no hazardous waste, within the meaning of the Solid Waste Management
Act of 1980, is presently being disposed of or has ever been disposed of by the Grantor, or to the
Grantor's actual knowledge, in or upon the premises above described.
q'ogetlier with all and singular, the buildings, improvements, rights, liberties, privileges,
hereditaments, and appurtenances thereunto belonging, ways, waters, water courses, rights,
liberties, privileges, hereditaments and appurtenances whatsoever thereunto belonging, or in
,-- 2'''2 i';i f'.1Jt'?A'
MOK . . f 1t,"L /U'"~
anywise appertaining, and the reversions and remainders, rents, issues and profits thereof; and also
all the estate, right, title, interest, use, trust, property, possession, claim and demand whatsoever
of the said Deceased, during his lifetime and at and immediately before the time of his decease, in
law, equity, or otherwise, howsoever, of, in, to, or out of the same.
'To !J-{ave atuf'To !J-{oUf the said described messuage or tenement and tract of land with its
hereditaments and premises hereby granted and released, or mentioned and intended so to be,
with the appurtenances, unto the said Grantee, her heirs and assign, to and for the only proper use
and behoof of the said Grantee, her heirs and assigns, forever.
.fJLtu{ the said Grantor does covenant, promise and agree, to and with the said Grantee, her heirs
and assigns, by these presents, that John T. Robinson, the said Executor of the Estate of Russell
Smoley, Deceased, and his Testamentary heirs have not done, committed, or knowingly, or
willingly suffered to be done or committed, any act, matter or thing whatsoever whereby the
premises hereby granted, or any part thereof, is, are, shall or may be impeached, charged or
encumbered, in title, charge, estate or otherwise howsoever.
1n Witness Wliereof, the said Executor to the Estate of Russell Smoley, Deceased,
Grantor has hereunto set his hand and seal the day and year first above-written.
Sealed and delivered in the presence of:
The Estate of Russell Smoley, Deceased, by
Certificate of !/(esitfenc.e
I hereby certifY that the precise residence of the Grantee named her~ 12 Highland Drive,
Camp Hill, Pennsylvania 17011." ('5'::/ / _
- '/: /~
ey/ Agent for Grantee
B(fo.~ 272 PACE1635
Com1fUJnwealtli of PenttS!f{vania.
CoUJtty of Sngaer
.
.
. ss:
.
On this ~~a~~005, before me, the subscriber, personally appeared
John T. Robinson, known by me (or proven to me) to be the Executor for the Estate of Russell
Smoley, Deceased, who being duly sworn according to law, deposes and says that he executed
and sealed this Instrument in furtherance ofhis power as Executor, for the purposes therein
mentioned.
Sworn to and subscribed before me, the day and year aforesaid.
Witness my hand and seal.
NotaryPu 'C"'e'.1J'~:', :.'t:6J.;"
.....n.: "~. . '!f.?<~.'.f':
,..~~~. ~~..~./;, .',
NOTARIAL SEAL <~~~~~< Ii'HO;.:;: ". ~.,;...,'
II . -~~:"'''''''''. '.. ;I.~'.",...",.; ._:.
E EItIT"7ELM'N t' ta Publ' ~.. ..~~ ;P4'/..;.~, -.'
NANq ,H .'11 ~ Hi ,10 ry '. :;:/.;;:t.tt'. ::~~~~:"::': .:.~
Selmsgr~v~ BCiiO, ,Snyder County l' J~f~l ~~P.':-'.'k.~ : I
My CommiSSIon Expires Dec. 6, 2009 _,;:, .:r.<.:'i') ~ ;:F;i:'i~.: ~.
W,y~i~~~T~~;~;
",t... (' ,,\~
.~: -;J:.'-'"
InCertify this to be recorded
It), Cumberland County P A
.
~..l " ')'~":.--...J
/' ,~
tOO" 272 PAGE1636
Rec'", Je.r of DC(,d.~.
_u.,~. '*
COMMONWEAlTH OF PENNSnVAHIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE B
STOCKS & BONDS
ESTATE OF
Russell Smoley
All property jolntly~wlled with right of survivorship must be disclosed on Schedule F.
FILE NUMBER
21-05-0780
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
Wachovia Investments Account 7672-9606
$ 6,279.00
2.
PPL Stock #30971166038. ~,180.276 shares at 62.13
135,460.55
3.
PPL Stock #3099022833. 1,874.342 shares at 62.13
116,452.87
TOTAL (Also enter on lile 2. Recapitulation) $ 258, 1 9 2 . 4 2
(If more space is needed, insert additional sheets of the same size)
__D>..," *'
COMMONWEAlTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE E
CASH, BANK DEPOSITS, & MISC.
PERSONAL PROPERTY
ESTATE OF
Russell Smoley
FILE NUMBER
21-05-0780
Indude the proceeds of ltigation and the dale the proceeds were I8ceived by the estate. All property Jolntly-owned with the rtght of survlvo/'lhlp must be disclosed on Schedule F.
ITEM
NUMBER
1.
DESCRIPTION
VALUE AT DATE
OF DEATH
1.vachovia }foney Market IRA
#257410900623566
$340.20
2.
Wachovia Checking Account
If 10 1 0060529594
11,711.56
3.
Personal Property
1,500.00
4.
Chevy Blazer 2001 - Blue Book Value
13,540.00
5.
Leggett, Refund of deposit on heat pump
3,635.00
6.
PPL Dividend for July, August, September
prorated to 8/14/05 date of death
533.22
TOTAL (Also enteron line 5, Recapilulalion) $ 31,259.98
(If more space is needed, insert adcfltional sheets of the same size)
_n..... .
COMMONWEAlTH OF PENNSYLVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE F
JOINTLY-OWNED PROPERTY
ESTATE OF
Russell Smoley
FILE NUMBER
21-05-0780
H an asll8t was made Joint within one year of the decedent. dati of death, It muat be rsportld on Schedule G.
SURVIVING JOINT TENANT(S) NAME
ADDRESS
RELATIONSHIP TO DECEDENT
~ Isabella Cline
12 Highland Drive, Camp Hill, PA 17011
Companion
B.
c.
JOINTl Y-C>WNED PROPERTY:
LETTER DATE DESCRIPTION OF PROPERTY %OF DATE OF DEATH
ITEM FOR JOINT MADE Irlcble name of inanciaI ins"*" and bar* ataIUll rudw or similar idenif)Wlg rumer. DATE OF DEATH DECO S VAlUE OF
NUMBER TENANT .10M AlIach died for joinIy-heId ,.al ellal8. VAlUE OF ASSET INTEREST DECEDENT S INTEREST
1. A. Wachovia Mutual Funds 117672-9604 $34,916.39 50% $17,458.20
TOT AI. (Also enter on line 6, Recaplulalion) $ 17,458.20
(If more space is needed, insert additional sheets of the same size)
_Uo"," '*
COMMONWEAlTH Of PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT DECEDENT
SCHEDULE H
FUNERAL EXPENSES &
ADMINISTRATIVE COSTS
ESTATE OF
Russell Smoley
FILE NUMBER
21-05-0780.
Debts of decedent must be reported on Schedule I.
ITEM
NUMBER
A.
DESCRIPTION
1.
FUNERAl EXPENSES:
Stone & Murray Funeral Home
B.
ADMINISTRATIVE COSTS:
P8ISOIIlI1 Representative 5 Commissions
Name of Personal Representative (5)
Social Securiy Number(s) I BN Number of Personal Representative(s)
Street Address
1.
City
State
Zip
2.
3.
Yee/(s) Commission Paid:
M~~ Robinson & Robinson, as Attorney & Executor
Famly Exemption: (If decedent 5 address is oot the same as claimant 5, attach explanation)
C1ainant
Street Address
City
Relationship of Claimant to Decedent
State
Zip
4.
ProoomF~ Cumberland County Register of Wills
5.
Accountant 5 F~
6.
Tax Return Pnlparer s Fees
7.
See attached list.
Total:
AMOUNT
$ 2,583.00
31,582.24
469.00
4,461.62
TOTAL (Also enter on liIe 9, Recapitulation) $ 39 , 09 5 . 76
(If more space is needed, insert addftional sheets of the same size)
Administrative Expenses
Med Safety, Inc.-oxegyn cylinders: 29.00
Med Safety, Inc.- wheelchair & 02: 263.50
School Real Estate Tax: 1,055.42
Per Capita Tax- fall: 10.00
Tri County Tax, Trans Reg Blazer: 40.00
East Pennsboro Ambulance: 59.80
Verizon PA 8/21/05: 34.89
Verizon PA 9/19/05: 31.43
PPL Electric PA 8/21/05: 87.18
PPL Electric PA 9/20/05: 60.04
Water Billing, PA 9/10/05: 20.45
D.G.I. Gas, PA 9/1/05: 36.39
D.G.I. Gas, PA 9/26/05: 28.03
Wachovia Securities, information fee: 25.00
Commonwealth ofPA Tag Transfer: 58.50
Cumberland Co. Recorder - Deed Recrdng: 39.50
Med Safety, Oxegyn Cylinders & Whlchr: 2,582.49
Total:
$ 4,461.62
_n..... *'
COMMONWEAlTH OF PENNSYlVANIA
INHERITANCE TAX RETURN
RESIDENT IlECEDEHT
SCHEDULE J
BENEFICIARIES
ESTATE OF
Russell Smoley
FIlE NUMBER
21-05-0780
NUMBER
I.
NAME AND ADDRESS OF PERSON(S) RECEMNG PROPERTY
TAXABLE DISTRIBUTIONS (ildude outright spousal cflSlrilulions)
RELATIONSHIP TO DECEDENT
Do Not Ust Trustee(s)
AMOUNT OR SHARE
OF ESTATE
1.
Jane Barbara Smoley
100 Ninth Avenue, Selinsgrove PA 17870
Daugh ter
$ 116,452.87
2.
Isabella Cline
12 Highland Drive, Camp Hill, PA 17011
Companion
Balance of Estate
ENTER DOLLAR AMOlJNTS FOR DISTRIBUTIONS SHOWN ABOVE ON LINES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET
n. NON-TAXABLE DISTRIBUTIONS:
A SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX IS NOT BEING MADE
1.
B. CHARITABLE AND GOVERNMENTAl. DISTRIBUTIONS
1.
TOTAL OF PART II . ENTER TOTAl. NON-TAXABLE DISTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET S
(If more space is needed,insert addtional sheets of !he same size)
-- -... .. . ." ~. -- ..........- ~ -'... '-'
LAST WILL AND TESTAMENT
I, Russell Smoley, being of sound and disposing mind and memory of and over the age of
eighteen (18) years, do make, publish and declare this to be my last Will, hereby expressly revoking all
Wills and Codicils and writing in the nature thereof heretofore made by me.
FIRST:
I declare that I am a single person. I have two (2) children now living, namely
Jane Barbara Smoley and William R. Smoley. It is my intention that William R. Smoley receive nothing
from my Estate. He is completely estranged from me and deserves none of my bounty.
...
SECOND:
It is my intention by this Will to dispose of all of the property which I may own.
However, I hereby elect not to exercise any power of appointment exercisable by a Will which I now
have or which may hereafter be conferred on me; no provisions of this Will shall be construed as an
exercise in whole or in part of any such power.
THIRD:
I direct that all inheritance and estate taxes, and all expenses related to the
administration of my Estate and of my last illness and funeral be paid out of my Estate by my Executor
as soon as may be conveniently done.
- 1 -
FOURTH: GIFTS, BEQUESTS AND DEVISES:
A. To my dear Friend and Companion, Isabella Cline, I give, devise and bequeath
the following:
1. My real property situate at 12 Highland Drive, Camp Hill,
Pennsylvania, together with all contents.
2. A life estate interest in my real property situate at 7580 Holly Lake
Lane, New Port Richey, Florida.
3.
Richey, Florida.
4.
5.
6.
$7,514.96.
7.
8.
$18,065.99.
9.
10.
. All contents of my residence at 7580 Holly Lake Lane, New Port
My investment in PPL corporation now containing 2,180 shares.
-My mutual fund now having a value of$31,780.45.
My Nationwide Policy LO 1 0555560 haviRg a current value of
My PPL Group Certificate 3322-6 having a current value of $1 ,500.
My Wachovia Checking Account having a current balance of
My Wachovia Savings Account having a current balance of $2,739.66.
All of the rest, residue and remainder of my Estate not otherwise
specifically gifted, beyueathed or devised.
- 2 -
11. Any motor vehicle I may own.
B. To my Daughter, Jane Barbara Smoley, I give, devise and bequeath the
following:
1. My real property situate at 7580 Holly Lake Lane, New Port Richey,
Florida, subject to the Life Estate granted herein to Isabella Cline.
2. My investment in PPL corporation now containing 1,814 shares.
C. In the event Isabell 3. Cline shall fail to survive me, then, in that event, I give,
bequeath and devise all of my Estate of whatsoever kind and wheresoever situate to my Daughter, Jane
Barbara Smoley.
FIFTH: EXECUTOR:
A. I appoint my dear Friend and Companion, Isabell aCline as my Executor of this
Will. In the event of her death, renunciation, resignation, or inability to act in that capacity, then, in that
event, I appoint my Attorney, John T. Robinson, Esquire, as my Alternate Executor in her place and
stead. My Executor, whether original, alternate, second alternate, substitute or successor, is referred to
herein as my "Executor".
B. No Bond or other security shall be required of any Executor appointed under
this Will.
- 3 -
"
C. My Executor shall receive reasonable compensation for services rendered to
my Estate.
D.
My Executor shall have all of the powers given by law or by this Will.
SIXTH:
If any beneficiary or remainderman under this Will in any manner, directly or
indirectly, contests or attacks this Will or any of its provisions, any share or interest in my Estate is
revoked and shall be disposed of in the same manner provided herein as if that contesting beneficiary or
remainderman had predeceased me without issue.
...
SEVENTH: GENERAL PROVISIONS
A. If any _provision of this Will or of any Codicil thereto is held to be inoperative,
invalid, or illegal, it is my intention that all of the remaining provisions thereof shall continue to be fully
operative and effective so far as is possible and reasonable.
B. The headings and numbers which precede the various provisions of this Will
have been included in order to assist in the location of the subject covered by each such provision and
are not to be used in construing this Will or ascertaining my intentions.
C. This Will and all of its provisions shall be construed, interpreted and applied
under and according to the Laws of the Commonwealth of Pennsylvania as are in existence as of the
date of its execution.
- 4 -
'.
.;,
D. This Will has generally utilized the singular masculine pronoun in identifying
those who shall serve my Estate or receive therefrom. This use of a single person and gender is for the
sole purpose of grammatical simplicity and should not be construed as a negation of the plural, female
or neuter gender.
IN WITNESS WHEREOF, I, Russell Smoley, hereby set my hand to this my Last Will and
Testament on this
f? day of November, 2004.
/
L~_
- 5 -
...
. . ," .~".
COMMONWEALTH OF PENNSYLVANIA
55
COUNTY OF SNYDER
We, Russell Smoley, John T. Robinson and Angela C. Buck, the Testator and the witnesses,
respectively, whose names are signed to the foregoing instrument, being first duly sworn according to
law, do hereby declare to the undersigned authority that the Testator signed and executed the
instrument as his Last Will and Testament; that he had signed willingly; that he executed it as his free
and voluntary act for the purposes therein expressed; and that each of the witnesses, in the presence
and hearing of the Testator, signed the Will as witness; and that to the best of our knowledge the
Testator was at the time eighteen years of age or older, of sound mind and under no constraint or undue
influence.
~~~~ ._"~~
Russell Smoley, Testator
/1 //~-? J
// /' /~ /"
John
Subscribed and sworn to before me by Russell Smoley, the Testator, and subscribed and
sworn to before me by John T. Robinson and Angela C. Buck, witnesses, this ~ day of
November, 2004.
l~~~
Notary Public~
My commission expires:
- 6
NOTARIAl SEAL
NANCY E. H8NTZElMAN, Notnry PubIi
SoIlnagru'lJ 80:0, Snyder CoIJ1ty
My Commiooion Expirss Dec. 6, 2005